MRI ASSOCIATES OF ILLINOIS SC NPI 1003809674

NPI Information

NPI: 1003809674
Provider Name: MRI ASSOCIATES OF ILLINOIS SC

Doing Business As: MERRIONETTE PARK MRI & IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11600 S KEDZIE AVE
MERRIONETTE PARK, IL
ZIP 60803
Phone: (888) 440-6494
Get Directions

MRI ASSOCIATES OF ILLINOIS SC is a diagnostic radiology radiology in Merrionette Park, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MRI ASSOCIATES OF ILLINOIS SC NPI is 1003809674. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Merrionette Park Mri & Imaging Center.

The provider's business location address is:

11600 S KEDZIE AVE
MERRIONETTE PARK, IL
ZIP 60803-302
Phone: (888) 440-6494
Fax: (330) 759-1501

The provider's authorized official is David L Bloom .
The authorized official title is President and has the following contact phone number (973) 707-1100.

The enumeration date for this NPI number is 8/29/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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